Get Cdbg Self Certification Form 2014 - City Of Pawtucket

Completing the CDBG Self Certification Form is essential for determining eligibility for public services funded by the Community Development Block Grant (CDBG) program. This guide will provide you with clear and supportive instructions to help you fill out the form online effectively.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the CDBG Self Certification Form and open it in your preferred editing tool.
2. Begin by entering the total number of people living in your household in the specified section.
3. Review the income categories based on your household size provided in the form; select the box that corresponds to your total annual family income. Ensure you include all sources of income from all individuals aged 18 and over residing in your household.
4. Indicate your ethnicity by selecting one of the two options provided in the corresponding section.
5. Select your race from the designated list, ensuring that you choose one option from the ten available.
6. Answer the question regarding whether there is a female head of household by selecting either 'Yes' or 'No'.
7. Read the applicant statement carefully, confirming that the information you have provided is accurate. Acknowledge that the details may be subject to verification by the relevant agencies.
8. Fill in your contact information, including your phone number and address. Ensure that you complete all required fields accurately.
9. Sign and date the form to certify that all information is correct to the best of your knowledge.
10. After completing the form, save your changes, and you have the option to download, print, or share the completed document as necessary.

Complete your CDBG Self Certification Form online today to ensure your eligibility for critical public services.